# VILLAGE OF ELM GROVE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ELM GROVE EMERGENCY MEDICAL SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225142698
- **Authorized official:** MICHELLE L SCHERFF SULIK (VICE PRESIDENT)
- **Authorized official phone:** (262) 375-9610

## Contact information

- **Practice address:** 13600 JUNEAU BLVD, ELM GROVE, WI 53122-1654
- **Practice address phone:** (262) 782-6700
- **Practice address fax:** (262) 782-8714
- **Mailing address:** PO BOX 72140, CEDARBURG, WI 53012-7340
- **Mailing address phone:** (262) 375-9610
- **Mailing address fax:** (262) 375-9608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 04/08/2011
